# ASHISH SANON MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Florida Eye Research Group Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154427326
- **Authorized official:** ASHISH SANON (SECRETARY)
- **Authorized official phone:** (352) 613-8059

## Contact information

- **Practice address:** 3402 N LECANTO HWY, SUITE A, BEVERLY HILLS, FL 34465-3570
- **Practice address phone:** (352) 613-8059
- **Mailing address:** PO BOX 640820, BEVERLY HILLS, FL 34464
- **Mailing address phone:** (352) 613-8059
- **Mailing address fax:** (352) 746-9930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME 76594 | FL | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 06/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 254665500 | — | FL |